| NPI | 1770167728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP Payor Strategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |